DJB6120302... | DJBSHEIB11... | 0 | | Q999: Other Medical Services | $2,438.10 | 2009 | 21430930 |
DJB2010406... | DJBALXIB15... | 1 | | Q999: Other Medical Services | $106.31 | 2009 | 21466684 |
DJB6120302... | DJBSHEIB11... | 1 | | Q999: Other Medical Services | $77.40 | 2009 | 21525350 |
DJB2010406... | DJBALXIB15... | 0 | | Q999: Other Medical Services | $402.80 | 2009 | 21579876 |
DJB3160300... | DJBWILIB13... | 0 | | Q999: Other Medical Services | $22,439.04 | 2009 | 21579877 |
DJB2160203... | DJBELKB110... | 0 | | AN41: Health Services (Basic) | $4,820.76 | 2009 | 21633560 |
DJB2010406... | DJBALXHB15... | 1 | | Q999: Other Medical Services | ($1,028.16) | 2009 | 21663599 |
DJB6120302... | DJBSHEIB11... | 0 | | Q999: Other Medical Services | $2,438.10 | 2009 | 21697754 |
DJB2010406... | DJBALXIB15... | 0 | | Q999: Other Medical Services | $2,025.00 | 2009 | 21720789 |
DJB2160203... | DJBELKIB11... | 6 | | Q301: Laboratory Testing Services | $85.44 | 2009 | 21776696 |
DJB2010406... | DJBALXIB15... | 1 | | Q999: Other Medical Services | ($96.19) | 2009 | 21811509 |